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1144390873
KENNETH DERNELL MITCHELL
SOUTHFIELD, MI
NPI
1144390873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: MI 5901001869)
Enumeration Date
2006-11-09
Last Update Date
2013-10-22
Business Address
Dr. KENNETH DERNELL MITCHELL DPM
23999 NORTHWESTERN HWY SUITE 220A
SOUTHFIELD, MI 48075-2578
Phone number: 248-996-6465
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Mailing Address
Dr. KENNETH DERNELL MITCHELL DPM
23999 NORTHWESTERN HWY SUITE 220A
SOUTHFIELD, MI 48075-2578
Phone number: 248-996-6465
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